Opioids play an important role in the regulation of glucose homeostasis. In the previous
report, we showed that activation of opioid µ-receptors produced a plasma glucose
lowering effect in diabetic rats lacking insulin. In the present study, we found that
the response of opioid µ-receptor is more sensitive in streptozotocin-induced diabetic
rats (STZ-diabetic rats) than in normal rats. Intravenous injection of loperamide,
an agonist of opioid µ-receptors, induced a dose-dependent decrease of plasma glucose
from 3 μg/kg to 60 μg/kg in fasting STZ-diabetic rats. However, loperamide decreased
the plasma glucose of normal fasting rats at the doses of 0.3 mg/kg to 1.5 mg/kg,
which were much higher than those needed to produce the same effect in diabetic rats.
The plasma glucose-lowering action of loperamide at the dose effective in normal rats
disappeared in opioid µ-receptor knockout mice, while the plasma glucose-lowering
response to loperamide was still observed in wild-type mice. This opens the possibility
of mediation through opioid µ-receptor in the plasma glucose-lowering action of loperamide.
Moreover, the mRNA level of opioid µ-receptor in the liver markedly increased in STZ-diabetic
rats compared to normal rats. Normalization of plasma glucose concentrations in STZ-diabetic
rats with exogenous insulin or phlorizin reversed mRNA and protein levels of opioid
µ-receptor in the liver after 4 days of treatment. This shows that correction of hyperglycemia
in STZ-diabetic rats may reverse the higher gene expression of opioid µ-receptor.
These results suggest that hyperglycemia is responsible for increase of opioid µ-receptor
in STZ-diabetic rats.
Key words:
Diabetic Rats - Insulin-Opioid µ-Receptor - Phlorizin
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Prof. J.-T. Cheng
Department of Pharmacology
College of Medicine
National Cheng Kung University
Tainan City, Taiwan 70101, R. O. C.
Telefon: + 886 (6) 237-2706
Fax: + 886 (6) 238-6548
eMail: jtcheng@mail.ncku.edu.tw